Individual
MR. CAMMIE HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
18 PROVINCIAL CT, KIRKWOOD, MO 63122-1503
(314) 517-0666
Mailing address
18 PROVINCIAL CT, KIRKWOOD, MO 63122-1503
(314) 517-0666
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2004022521
MO
Other
Enumeration date
08/28/2015
Last updated
08/28/2015
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